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EP0426479B1 - Verwendung einer Zusammensetzung zur Herstellung eines Arzneimittels zur Behandlung der Symptome der Unenthaltsamkeit - Google Patents

Verwendung einer Zusammensetzung zur Herstellung eines Arzneimittels zur Behandlung der Symptome der Unenthaltsamkeit Download PDF

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Publication number
EP0426479B1
EP0426479B1 EP90311995A EP90311995A EP0426479B1 EP 0426479 B1 EP0426479 B1 EP 0426479B1 EP 90311995 A EP90311995 A EP 90311995A EP 90311995 A EP90311995 A EP 90311995A EP 0426479 B1 EP0426479 B1 EP 0426479B1
Authority
EP
European Patent Office
Prior art keywords
per dose
combination
pharmaceutically acceptable
cimetidine
acetaminophen
Prior art date
Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
Revoked
Application number
EP90311995A
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English (en)
French (fr)
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EP0426479A1 (de
Inventor
William J. Goldman
Thomas N. Gates
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Johnson and Johnson Consumer Inc
Original Assignee
McNeil PPC Inc
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Application filed by McNeil PPC Inc filed Critical McNeil PPC Inc
Priority to AT90311995T priority Critical patent/ATE101515T1/de
Publication of EP0426479A1 publication Critical patent/EP0426479A1/de
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Classifications

    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61K—PREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K31/00—Medicinal preparations containing organic active ingredients
    • A61K31/16—Amides, e.g. hydroxamic acids
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61K—PREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K31/00—Medicinal preparations containing organic active ingredients
    • A61K31/33—Heterocyclic compounds
    • A61K31/335—Heterocyclic compounds having oxygen as the only ring hetero atom, e.g. fungichromin
    • A61K31/34—Heterocyclic compounds having oxygen as the only ring hetero atom, e.g. fungichromin having five-membered rings with one oxygen as the only ring hetero atom, e.g. isosorbide
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61K—PREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K31/00—Medicinal preparations containing organic active ingredients
    • A61K31/16—Amides, e.g. hydroxamic acids
    • A61K31/165—Amides, e.g. hydroxamic acids having aromatic rings, e.g. colchicine, atenolol, progabide
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61K—PREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K31/00—Medicinal preparations containing organic active ingredients
    • A61K31/185—Acids; Anhydrides, halides or salts thereof, e.g. sulfur acids, imidic, hydrazonic or hydroximic acids
    • A61K31/19—Carboxylic acids, e.g. valproic acid
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61K—PREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K31/00—Medicinal preparations containing organic active ingredients
    • A61K31/33—Heterocyclic compounds
    • A61K31/395—Heterocyclic compounds having nitrogen as a ring hetero atom, e.g. guanethidine or rifamycins
    • A61K31/41—Heterocyclic compounds having nitrogen as a ring hetero atom, e.g. guanethidine or rifamycins having five-membered rings with two or more ring hetero atoms, at least one of which being nitrogen, e.g. tetrazole
    • A61K31/415—1,2-Diazoles
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61K—PREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K31/00—Medicinal preparations containing organic active ingredients
    • A61K31/33—Heterocyclic compounds
    • A61K31/395—Heterocyclic compounds having nitrogen as a ring hetero atom, e.g. guanethidine or rifamycins
    • A61K31/435—Heterocyclic compounds having nitrogen as a ring hetero atom, e.g. guanethidine or rifamycins having six-membered rings with one nitrogen as the only ring hetero atom
    • A61K31/44—Non condensed pyridines; Hydrogenated derivatives thereof
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61P—SPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
    • A61P1/00—Drugs for disorders of the alimentary tract or the digestive system
    • A61P1/04—Drugs for disorders of the alimentary tract or the digestive system for ulcers, gastritis or reflux esophagitis, e.g. antacids, inhibitors of acid secretion, mucosal protectants
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61P—SPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
    • A61P25/00—Drugs for disorders of the nervous system
    • A61P25/04—Centrally acting analgesics, e.g. opioids
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61P—SPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
    • A61P25/00—Drugs for disorders of the nervous system
    • A61P25/30—Drugs for disorders of the nervous system for treating abuse or dependence
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61P—SPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
    • A61P29/00—Non-central analgesic, antipyretic or antiinflammatory agents, e.g. antirheumatic agents; Non-steroidal antiinflammatory drugs [NSAID]
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61P—SPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
    • A61P43/00—Drugs for specific purposes, not provided for in groups A61P1/00-A61P41/00

Definitions

  • This invention relates to pharmaceutical compositions for treating the symptoms of overindulgence. More particularly, the invention comprises treating the symptoms of overindulgence with a combination of non-steroidal anti-inflammatory drug or acetaminophen and a histamine receptor blocker and/or a proton pump inhibitor composition
  • Non-steroidal anti-inflammatory drugs hereinafter referred to as "NSAID(S)" and acetaminophen (hereinafter referred to as “APAP”) are known to be effective analgesics for the treatment of mild to moderate pain.
  • Histamine receptor blockers (referred to generically herein as H1 or H2 blockers) are effective inhibitors of gastric acid production.
  • Proton pump inhibitors have been recently introduced as effective gastric acid inhibitors.
  • the pathophysiology of indigestion is generally believed to be related to increased intraluminal acidity.
  • the effects of alcohol and/or food on the gastrointestinal tract are influenced by a number of factors, including the mental state of the patient, the amount and type of food concurrently ingested, the individual subject's tolerance for alcohol and the presence or absence of disease.
  • Gastric secretions stimulated by alcohol are rich in acid and normal in pepsin content. Stimulation of the antral mucosa by alcohol also leads to increased gastric secretion. Histamine has also been shown to be released in response to the alcohol-gastrin inter-relationship. ( See Glass, G. B. J., B. L. Slomiany and A.
  • Alcohol in concentrations of about 10% in the stomach results in an acid rich secretion.
  • Alcoholic drinks of 40% concentration and over are quite irritating to the gastric mucosa and cause congestive hyperemia and inflammation of the gastric mucosa and can produce erosive gastritis ( See Ritchie, J. M., "The Aliphatic Alcohols", The Pharmaclogical Basis of Therapeutics , 7th Edition, MacMillan Publishing Co, N.Y., p 372-386, 1985).
  • the irritation produced by alcohol stimulates sensitized visceral afferent nerves which accompany the abdominal sympathetic pathway and is responsible for the symptom of abdominal discomfort which accompanies overindulgence.
  • Inflammation also generally lowers the threshold for pain from visceral distention or exaggerated muscular contraction ( See Lorber, S. H., and V. P. Dimoso, Jr., "Diseases of the Gastrointestinal Tract", The Biology of Alcoholism , Vol 3, Clinical Pathology, Plenum Press, N.Y., p 339-357, 1974).
  • Heartburn or pyrosis is frequently associated with overindulgence and is the result of reflux of acidic gastric content into the lower esophagus after a large meal or excessive alcohol intake.
  • Heartburn is described as a sensation of warmth or burning located substernally or high in the epigastrum with occasional radiation into the neck and occasionally to the arms.
  • H2 receptor blocking agents Treatment of the gastric mucosal irritation and heartburn associated with overindulgence due to alcohol has traditionally been directed toward reducing gastric acidity with various oral antacids.
  • Recent introduction of H2 receptor blocking agents has added another dimension to the treatment regimen and has only lately been considered as a routine therapy for gastric mucosal irritation due to a variety of causes. Histamine is known to stimulate the release of gastric acid. Evidence is available that blocking the histamine gastric response is possible with agents which selectively block the H1 receptor.
  • combinations of H1 and H2 receptor blocking agents have been shown to have a synergistic effect on protecting the gastric mucosa.
  • An appropriate treatment of heartburn or pyrosis could encompass a composition containing an H1 receptor blocking agent, an H2 receptor blocking agent or a combination of the two depending upon the desired result or severity of the condition.
  • Headache due to excessive food or alcohol ingestion is a much more obscure subject. While the etiology of the common headache due to overindulgence may be related to the essential oils, metabolic by-products of ethyl alcohol metabolism or osmotic changes induced by the anhydrous nature of the alcohol itself, specific details of the mechanism are difficult to determine. Should etiologies and mechanisms of headache production be more precisely known, therapy can be more specifically oriented. Meanwhile, treatment has been directed at avoidance and symptomatic therapy with analgesic compositions, e.g. aspirin or APAP (See Adams, R.D. and J.B. Martin, “Headache”, Harrison's Principles of Internal Medicine , 11th Edition, McGraw Hill Book Company, N.Y., p 26-33, 1986).
  • analgesic compositions e.g. aspirin or APAP (See Adams, R.D. and J.B. Martin, "Headache”, Harrison's Principles of Internal Medicine , 11th Edition
  • an analgesic to relieve the headache along with an agent to reduce gastric acidity which is generally believed to cause the indigestion and heartburn.
  • an analgesic to relieve the headache along with an agent to reduce gastric acidity which is generally believed to cause the indigestion and heartburn.
  • effervescent products comprising aspirin or APAP combined with an antacid such as sodium or calcium carbonates have been commercially available as treatments for the symptoms of overindulgence.
  • WO85/03443 discloses analgesic and anti-inflammatory compositions comprising a non-steroidal anti-inflammatory drug and diphenhydramine. It is disclosed that the diphenhydramine acts synergistically with the non-steroidal anti-inflammatory drug to provide enhanced analgesic and anti-inflammatory response.
  • GB-A-2105193 discloses pharmaceutical compositions comprising a non-steroidal anti-inflammatory drug and the histamine H2-antagonist ranitidine.
  • the ranitidine reduces the undesirable ulcerogenic side-effects of certain non-steroidal anti-inflammatory drugs and is especially useful when the medicament has to be administered over an extended period.
  • the invention provides the use of a composition comprising: an analgesic effective amount of acetaminophen or a non-steroidal anti-inflammatory drug; and a gastric acid inhibiting effective amount of an H1 or H2 receptor blocker, a proton pump inhibitor or a combination thereof for the preparation of a medicament for use in the treatment of the effects of over-indulgence.
  • the NSAID is selected from the group consisting of propionic acid derivatives including ibuprofen, fenoprofen, naproxen and ketoprofen; fenamic acid derivatives, including meclofenamate and mefenamic acids; oxicams, including piroxicam; indole acetic acids, including indomethacin, sulindac, tolmetin; and pharmaceutically acceptable salt thereof.
  • the preferred H1 or H2 or proton pump inhibitors are selected from the group consisting of the H2 receptor blocking drugs cimetidine, ranitidine and famotidine; the proton pump inhibitor drug omeprazole; and the H1 receptor blocking drugs, from the group ethanolamines including diphenhydramine, dimenhydrinate, carbinoxamine, from the group ethylenediamines, including tripelennamine, pyrilamine, from the group alkylamines, including chorpheniramine, from the group piperazines, including hydroxyzine, cyclizine, meclizine, from the group phenothiazines, including promethazine.
  • the APAP or ibuprofen are used in combination with cimetidine.
  • the invention may be used in methods for treating the symptoms of overindulgence comprising administering a combination pharmaceutical composition to a patient comprising an analgesic effective amount of APAP or an NSAID and a gastric acid inhibiting effective amount of an H1 or H2 blocker, a proton pump inhibitor or a combination thereof as is described above.
  • an analgesic effective amount of APAP or an NSAID is combined with a gastric acid inhibiting effective amount of an H1 or H2 blocker or a proton pump inhibitor or a combination thereof.
  • overindulgence is directed to the symptomatic relief of the complaints of acid indigestion and headache. This requires the use of an agent which would treat the headache, abdominal discomfort and reduce the intraluminal gastric acidity. Since no single agent has been found to be capable of treating the multiple symptons of overindulgence, a composition such as is described in this invention is recommended.
  • APAP a well-known clinically proven analgesic and antipyretic, produces analgesia by elevating the pain threshold.
  • APAP is indicated as an analgesic for both acute and chronic pain conditions, including arthritic and rheumatic conditions involving musculoskeletal pain, headache, dysmenorrhea, myalgias and neuralgias.
  • APAP is an extremely safe analgesic, rarely producing side-effects and is especially well tolerated by aspirin-sensitive patients.
  • APAP is particularly well suited as an analgesic in patients with hemostatic disturbances as well as in patients with upper gastrointestinal disorders including ulcers, gastritis and hiatus hernia.
  • Aspirin and other NSAIDs are commonly used for the treatment of pain and inflammation of a variety of etiologies.
  • the mechanism of action of this class of drugs is by inhibition of the enzyme of prostaglandin synthetase, both centrally and peripherally.
  • the peripheral prostaglandin synthetase inhibiting activity of aspirin and other NSAIDs is responsible for the anti-inflammatory and analgesic activity as well as for many of the varied side-effects of these drugs.
  • Aspirin is specifically excluded from this invention since aspirin, by itself, causes severe inflammation of the gastric mucosa. In the presence of alcohol, this effect of aspirin is enhanced.
  • gastrin, acetylcholine and histamine in the stomach interacting with the histamine receptor on the parietal cell results in the increased secretion of hydrochloric acid.
  • the activity of gastrin and acetylcholine are believed to be influenced by histamine. Inhibition of the histamine receptor prevents the attachment of histamine to the parietal cell and subsequently inhibits acid secretion.
  • Omeprazole a proton pump inhibitor, irreversibly inhibits the enzyme responsible for acid production.
  • the histamine receptors are differentiated by the class of inhibitor so that while the acid secreting histamine receptor is called an H2 receptor with the inhibitors of this site being called the H2 receptor blocker, the histamine H1 receptor site blockers comprise another class of antihistamine drugs.
  • the combination of H1 and H2 blockers can synergistically protect the gastrointestinal mucosa from the effects of chemically induced damage such as occurs in alcohol and food related overindulgence.
  • composition of the present invention shall preferably contain a combination of the following compositions or their pharmaceutically acceptable salts either acetaminophen from 500 to 1000 mg per dose or one of several NSAIDs from the group of: propionic acid derivatives including ibuprofen (the term ibuprofen is meant to include administration of both the racemic mixture of R- and S-enantiomers and the substantially pure S-enantiomer which is the analgesic active form of ibuprofen) from 200 to 400 mg per dose; naproxen from 200 to 500 mg per dose; fenoprofen from 200 to 600 mg per dose; ketoprofen from 50 to 300 mg per dose, meclofenamate from 50 to 400 mg per dose, mefenamic acid from 250 to 500 mg per dose; piroxicam from 10 to 20 mg per dose; indomethacin from 25 to 200 mg per dose, sulindac from 150 to 400 mg per dose, tolmetin from 200 to 1200 mg per dose; in combination with the H2 receptor
  • the dosage ranges described above are preferred adult doses and may vary depending upon the age and weight of the patient as would be known by those skilled in the pharmaceutical arts. Further, if a combination of, for example an H1 and H2 blocker is used, the dosage for each may be reduced.
  • patients suffering from the symptoms of overindulgence which will include any of the constellation of signs of indigestion, upper abdominal discomfort, bloating, heartburn or pyrosis and headache can be administered acetaminophen or a non-steroidal anti-inflammatory drug with and without histamine receptor blockers (H1 and/or H2 blocking agents).
  • H1 and/or H2 blocking agents histamine receptor blockers
  • patients are asked to subjectively estimate onset of relief, duration of relief and time to maximum relief. Appropriate statistical methods are used to show that on the average, acetaminophen or non-steroidal anti-inflammatory agents with H1 histamine and/or H2 histamine receptor blocking drugs are more efficacious.
  • compositions of the invention can be added to the combination pharmaceutical compositions of the invention.
  • flavoring compositions are desirably added to chewable and liquid dosage forms.
  • antidiarrheal, antiflatulent, antispasmodic and/or anticholinergic compositions may be added to the compositions of the invention to reduce and relieve gastrointestinal distress, which may be associated with acid indigestion.
  • antidiarrheals include loperamide, attapulgite, bismuth subsalicylate, diphenoxylate HCl, polycarbophil, calcium polycarbophil and mixtures thereof.
  • An example of an antiflatulent is simethicone.
  • antispasmodics include phenobarbital dicyclomine HCl, belladonna alkaloids, and atropine.
  • Examples 1-14 disclose various formulations for preparing tablets or caplets in accordance with the invention.
  • Various conventional techniques for preparing medicament tablets or caplets can be employed as would be known to those skilled in the art as is disclosed for example by Remington's Pharmaceutical Sciences , Mack Publishing Co., Chapter 90, "Oral Solid Dosage Forms", pp. 1603-1632 (1985).
  • a tablet consisting of: 500 mg of acetaminophen; 150 mg of cimetidine; and other auxiliary agents and coloring agents.
  • a tablet consisting of: 500 mg of acetaminophen; 25 mg of diphenhydramine; and other auxiliary agents and coloring agents.
  • a tablet consisting of: 200 mg of ibuprofen; 150 mg of cimetidine; and other auxiliary agents and coloring agents.
  • a tablet consisting of: 200 mg of ibuprofen; 50 mg of ranitidine; and other auxiliary agents and coloring agents.
  • a tablet consisting of: 200 mg of ibuprofen; 25 mg of diphenhydramine; and other auxiliary agents and coloring agents.
  • a tablet consisting of: 500 mg of acetaminophen; 50 mg of ranitidine; and other auxiliary agents and coloring agents.
  • a tablet consisting of: 500 mg of acetaminophen; 150 mg of cimetidine; 25 mg of diphenhydramine; and other auxiliary agents and coloring agents.
  • a tablet consisting of: 200 mg of ibuprofen; 350 mg of cimetidine; 25 mg of diphenhydramine; and other auxiliary agents and coloring agents.
  • a tablet consisting of: 500 mg of acetaminophen; 50 mg of ranitidine; 25 mg of diphenhydramine; and other auxiliary agents and coloring agents.
  • a tablet consisting of: 200 mg of ibuprofen; 50 mg of ranitidine; 25 mg of diphenhydramine; and other auxiliary agents and coloring agents.
  • a tablet consisting of: 500 mg of acetaminphen; 60 mg of omeprazole; and other auxiliary agents and coloring agents.
  • a tablet consisting of: 200 mg ibuprofen; 60 mg omeprazole; and other auxiliary agents and coloring agents.
  • a tablet consisting of: 500 mg acetaminophen; 60 mg omeprazole; 25 mg diphenhydramine; and other auxiliary agents and coloring agents.
  • a tablet consisting of: 200 mg ibuprofen; 60 mg omeprazole; 25 mg diphenhydramine; and other auxiliary agents and coloring agents.
  • dosage forms can be applied herein such as a filled gelatin capsule, liquid emulsion/suspension or chewable tablet form employing the dosage actives provided above or other dosage amounts in accordance with the present invention.
  • a liquid suspension of ibuprofen to which cimetidine, diphenhydramine, ranitidine or combinations thereof in the amounts provided above can be added to the ibuprofen suspension disclosed in EP-A-90307001.9.
  • a patient exhibiting the symptoms or suffering from the symptoms of overindulgence is treated by the oral administration of one tablet of the pharmaceutical composition in accordance with any of Examples 1-14.
  • compositions of the invention may be provided in a sustained release formulation for prolonged and/or nightime treatment of the symptoms of overindulgence.
  • Medical and pharmaceutical uses of the present invention can be accomplished by any clinical, medical and pharmaceutical methods and techniques as are presently or prospectively known to those skilled in the art.

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Claims (7)

  1. Verwendung einer Zusammensetzung, umfassend:
       eine analgetisch wirksame Menge Acetaminophen oder eines nichtsteroiden, entzündurigshemmenden Arzneistoffes; und
       eine Magensäure inhibierende wirksame Menge eines H₁- oder H₂-Rezeptorblockers, eines Protonenpumpen-Inhibitors oder einer Kombination derselben zur Herstellung eines Medikaments zur Verwendung bei der Behandlung der Effekte von übermäßigem Genuß.
  2. Verwendung einer Zusammensetzung nach Anspruch 1, wobei der nichtsteroide, entzündungsbemmende Arzneistoff ein Propionsäurederivat, ein Fenaminsäurederivat, ein Oxicam, eine Indolessigsäure oder ein pharmazeutisch verträgliches Salz davon ist.
  3. Verwendung einer Zusammensetzung nach Anspruch 1 oder nach Anspruch 2, wobei das Acetaminophen oder der nichtsteroide, entzündungshemmende Arzneistoff, ausgewählt aus Ibuprofen, Fenoprofen, Naproxen, Ketoprofen, Meclofenamat, Mefenaminsäure, Piroxicam, Indomethacin, Sulindac, Tolmetin, oder ein pharmazeutisch verträgliches Salz davon, kombiniert ist mit:
       einem der den H₂-Rezeptor blockierenden Arzneistoffe Cimetidin, Ranitidin und Famotidin;
       dem Protonenpumpen-Inhibitor-Arzneistoff Omeprazol; oder
       einem der den H₁-Rezeptor blockierenden Arzneistoffe Diphenhydramin, Dimenhydrinat, Carbinoxamin, Tripelennamin, Pyrilamin, Chlorp heniramin, Hydroxyzin, Cyclizin, Meclizin, Promethazin;
       oder einem pharmazeutisch verträglichen Salz davon.
  4. Verwendung einer Zusammensetzung nach einem der Ansprüche 1 bis 3, wobei das Medikament enthält:
       Acetaminophen von 500 bis 1000 mg pro Dosis, Ibuprofen von 200 bis 400 mg pro Dosis, Naproxen von 200 bis 500 mg pro Dosis, Fenoprofen von 200 bis 600 mg pro Dosis, Ketoprofen von 50 bis 300 mg pro Dosis, Meclofenamat von 50 bis 400 mg pro Dosis, Mefenaminsäure von 250 bis 500 mg pro Dosis, Piroxicam von 10 bis 20 mg pro Dosis, Indomethacin von 25 bis 200 mg pro Dosis, Sulindac von 150 bis 400 mg pro Dosis, Tolmetin von 200 bis 1200 mg pro Dosis oder einem pharmazeutisch verträglichen Salz davon;
       in Kombination mit:
       Cimetidin von 150 bis 800 Mg pro Dosis, Ranitidin von 50 bis 300 mg pro Dosis, Famotidin von 5 bis 40 mg pro Dosis, Omeprazol von 100 bis 500 mg pro Dosis, Diphenhvdramin von 25 bis 200 mg pro Dosis, Dimenhydrinat von 50 bis 400 mg pro Dosis, Carbinoxamin von 4 bis 8 mg pro Dosis, Tripelennamin von 25 bis 300 mg pro Dosis, Pyrilamin von 25 bis 100 mg pro Dosis, Chlorpheniramin von 2 bis 24 mg pro Dosis, Hydroxyzin von 25 bis 100 mg pro Dosis, Cyclizin von 50 bis 300 mg pro Dosis, Meclizin von 8 bis 100 mg pro Dosis, Promethazin von 12,5 bis 50 mg pro Dosis, einem pharmazeutisch verträglichen Salz davon oder einer Kombination davon.
  5. Verwendung einer Zusammensetzung nach einem der Ansprüche 1 bis 4, wobei die Zusammensetzung Fenoprofen, Ketoprofen, Meclofenamat, Mefenaminsäure, Piroxicam, Indomethacin, Sulindac, Tolmetin oder ein pharmazeutisch verträgliches Salz davon und
    (a) Cimetidin, Ranitidin oder Famitidin; oder
    (b) Diphenhydramin, Dimenhydrinat, Carbinoxamin, Tripelennamin, Pyrilamin, Chlorpheniramin, Hydroxyzin, Cyclizin, Meclizin oder Promethazin; oder
    (c) eine Kombination der Arzneistoffe von Gruppe (a) und einen Arzneistoff von Gruppe (b) umfaßt.
  6. Verwendung einer Zusammensetzung nach einem der Ansprüche 1 bis 5, wobei die Zusammensetzung umfaßt:
       eine Kombination von Acetaminophen und Cimetidin;
       eine Kombination von Ibuprofen und Cimetidin; oder
       eine Kombination von Naproxen und Diphenhydramin.
  7. Verwendung einer Zusammensetzung nach einem der Ansprüche 1 bis 6, wobei das Arzneimittel in einer Dosierungsform als orale Tablette, Kaplette, zum Kauen oder flüssig vorliegt.
EP90311995A 1989-11-02 1990-11-01 Verwendung einer Zusammensetzung zur Herstellung eines Arzneimittels zur Behandlung der Symptome der Unenthaltsamkeit Revoked EP0426479B1 (de)

Priority Applications (1)

Application Number Priority Date Filing Date Title
AT90311995T ATE101515T1 (de) 1989-11-02 1990-11-01 Verwendung einer zusammensetzung zur herstellung eines arzneimittels zur behandlung der symptome der unenthaltsamkeit.

Applications Claiming Priority (2)

Application Number Priority Date Filing Date Title
US43083789A 1989-11-02 1989-11-02
US430837 1989-11-02

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EP0426479A1 EP0426479A1 (de) 1991-05-08
EP0426479B1 true EP0426479B1 (de) 1994-02-16

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EP (1) EP0426479B1 (de)
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US7736666B2 (en) 2000-03-08 2010-06-15 Nicox S.A. Self emulsifying drug delivery system
US7815933B2 (en) 2001-09-07 2010-10-19 Nicox S.A. Self emulsifying drug delivery system
US8206741B2 (en) 2001-06-01 2012-06-26 Pozen Inc. Pharmaceutical compositions for the coordinated delivery of NSAIDs
US8945621B2 (en) 2009-06-25 2015-02-03 Pozen Inc. Method for treating a patient at risk for developing an NSAID-associated ulcer
US9220698B2 (en) 2008-09-09 2015-12-29 Pozen Inc. Method for delivering a pharmaceutical composition to patient in need thereof
US9539214B2 (en) 2011-12-28 2017-01-10 Pozen Inc. Compositions and methods for delivery of omeprazole plus acetylsalicylic acid

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JPH08502254A (ja) * 1992-09-29 1996-03-12 メルク エンド カンパニー インコーポレーテッド イブプロフェン−ｈ▲下２▼拮抗薬配合物
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US5648355A (en) * 1994-02-09 1997-07-15 Kos Pharmaceutical, Inc. Method of treatment of endogenous, painful gastrointestinal conditions of non-inflammatory, non-ulcerative origin
SE9600072D0 (sv) * 1996-01-08 1996-01-08 Astra Ab New oral formulation of two active ingredients II
SE9600070D0 (sv) 1996-01-08 1996-01-08 Astra Ab New oral pharmaceutical dosage forms
ZA975444B (en) * 1996-06-20 1998-12-21 Mcneil Ppc Inc Acetaminophen and meclizine hydrochloride analgesics
WO1998058637A1 (en) * 1996-06-20 1998-12-30 Mcneil-Ppc Acetaminophen and diphenhydramine analgesics
DE19801811B4 (de) * 1998-01-19 2004-12-23 Stada Arzneimittel Ag Pharmazeutische Zubereitung zur oralen Verabreichung
US20050220909A1 (en) 2004-03-30 2005-10-06 Theoharides Theoharis C Composition for protection against superficial vasodilator flush syndrome
US7799766B2 (en) 1998-04-08 2010-09-21 Theta Biomedical Consulting & Development Co., Inc. Composition for treating hormonally-dependent cancers
US7906153B2 (en) 1998-04-08 2011-03-15 Theta Biomedical Consulting & Development Co., Inc. Anti-inflammatory compositions for treating multiple sclerosis
GB9911017D0 (en) * 1999-05-13 1999-07-14 Zeneca Ltd Pharmaceutical compositions
WO2000071122A1 (en) * 1999-05-20 2000-11-30 Par Pharmaceutical, Inc. Stabilized composition based on pyridinyl-sulfinyl-benzimidazoles and process
EP1189662A1 (de) * 1999-06-09 2002-03-27 Eli Lilly And Company Kombination zur behandlung von antipsychotikumsgebrauch-assozierte gewichtszunahme, enthaltend ein atypisches antipsychotikum und ein h2-antagonist
EE05234B1 (et) * 2001-03-08 2009-12-15 Astrazeneca Ab 6-karboksamidoimidaso[1,2-a] pridiinihendite kasutamine ravimi p?hjustatud maohaavandi v„ltimiseks
US20040121004A1 (en) * 2002-12-20 2004-06-24 Rajneesh Taneja Dosage forms containing a PPI, NSAID, and buffer
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US7923043B2 (en) 2004-03-30 2011-04-12 Theta Biomedical Consulting & Development Co., Inc. Method for protecting humans against superficial vasodilator flush syndrome
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US8771643B2 (en) * 2008-01-04 2014-07-08 Schabar Research Associates Llc Use of analgesic potentiating compounds to potentiate the analgesic properties of an analgesic compound
US9050275B2 (en) 2009-08-03 2015-06-09 Theta Biomedical Consulting & Development Co., Inc. Methods of screening for and treating autism spectrum disorders and compositions for same
US9176146B2 (en) 2009-08-03 2015-11-03 Theta Biomedical Consulting & Development Co., Inc. Methods of treating autism spectrum disorders and compositions for same
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CN116194102A (zh) 2020-07-15 2023-05-30 沙巴研究联合有限责任公司 用于治疗急性疼痛和降低胃灼热的严重程度和/或风险的包含布洛芬和法莫替丁的单位口服剂量组合物

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US7736666B2 (en) 2000-03-08 2010-06-15 Nicox S.A. Self emulsifying drug delivery system
US9345695B2 (en) 2001-06-01 2016-05-24 Pozen Inc. Pharmaceutical compositions for the coordinated delivery of NSAIDs
US8865190B2 (en) 2001-06-01 2014-10-21 Pozen Inc. Pharmaceutical compositions for the coordinated delivery of NSAIDs
US8206741B2 (en) 2001-06-01 2012-06-26 Pozen Inc. Pharmaceutical compositions for the coordinated delivery of NSAIDs
US8557285B2 (en) 2001-06-01 2013-10-15 Pozen Inc. Pharmaceutical compositions for the coordinated delivery of NSAIDs
US9161920B2 (en) 2001-06-01 2015-10-20 Pozen Inc. Pharmaceutical compositions for the coordinated delivery of NSAIDs
US8858996B2 (en) 2001-06-01 2014-10-14 Pozen Inc. Pharmaceutical compositions for the coordinated delivery of NSAIDS
US9707181B2 (en) 2001-06-01 2017-07-18 Pozen Inc. Pharmaceutical compositions for the coordinated delivery of NSAIDs
US9364439B2 (en) 2001-06-01 2016-06-14 Pozen Inc. Pharmaceutical compositions for the coordinated delivery of NSAIDs
US8852636B2 (en) 2001-06-01 2014-10-07 Pozen Inc. Pharmaceutical compositions for the coordinated delivery of NSAIDs
US9198888B2 (en) 2001-06-01 2015-12-01 Pozen Inc. Pharmaceutical compositions for the coordinated delivery of NSAIDs
US6926907B2 (en) 2001-06-01 2005-08-09 Pozen Inc. Pharmaceutical compositions for the coordinated delivery of NSAIDs
US7815933B2 (en) 2001-09-07 2010-10-19 Nicox S.A. Self emulsifying drug delivery system
US9220698B2 (en) 2008-09-09 2015-12-29 Pozen Inc. Method for delivering a pharmaceutical composition to patient in need thereof
US9393208B2 (en) 2008-09-09 2016-07-19 Pozen Inc. Method for delivering a pharmaceutical composition to patient in need thereof
US8945621B2 (en) 2009-06-25 2015-02-03 Pozen Inc. Method for treating a patient at risk for developing an NSAID-associated ulcer
US9539214B2 (en) 2011-12-28 2017-01-10 Pozen Inc. Compositions and methods for delivery of omeprazole plus acetylsalicylic acid

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CA2028746A1 (en) 1991-05-03
CA2028746C (en) 1995-12-26
GR900100786A (el) 1992-04-17
ZA908775B (en) 1992-07-29
IE64953B1 (en) 1995-09-20
ATE101515T1 (de) 1994-03-15
ES2057439T3 (es) 1994-10-16
GR1002097B (en) 1995-12-28
DE69006684D1 (de) 1994-03-24
NZ235877A (en) 1992-09-25
PT95753A (pt) 1991-09-30
IN171746B (de) 1992-12-26
JPH03206052A (ja) 1991-09-09
AU646230B2 (en) 1994-02-17
KR910009254A (ko) 1991-06-28
AU6568990A (en) 1991-05-09
DE69006684T2 (de) 1994-06-09
EP0426479A1 (de) 1991-05-08
IE903946A1 (en) 1991-05-08

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